A child is admitted to the pediatric unit with a diagnosis of suspected meningococcal meningitis. Which admission orders should the nurse implement first?

Correct Answer: C

Rationale: The correct answer is C: Place in respiratory/secretion precautions. This is the priority because meningococcal meningitis is spread through respiratory secretions, so isolating the child will prevent transmission. A: Institute seizure precautions is important but not the first priority. B: Monitoring neurologic status is essential but not the initial action. D: Administering antibiotics is crucial, but isolating the child to prevent spread takes precedence.

Correct Answer: A

Rationale: Step-by-step rationale for why answer A is correct: 1. Address the issue professionally and objectively. 2. Focus on unit expectations rather than personal attacks. 3. Create an opportunity for open dialogue and clarification. 4. Set a constructive tone for resolving the conflict. Summary of why other choices are incorrect: B. Involves hearsay and personal attacks. C. Threatening without a resolution strategy. D. Accusatory and judgmental approach.

Correct Answer: C

Rationale: The correct answer is C: Review the events leading up to each medication administration error. This strategy is the most critical initial step in addressing medication administration errors. By conducting a thorough review of the events leading up to each error, the committee can identify root causes and contributing factors, allowing for targeted interventions to prevent similar errors in the future. This approach aligns with the principles of continuous quality improvement (CQI) by focusing on understanding the underlying issues before implementing solutions. Choice A: Providing an inservice on medication administration to all nurses may be beneficial, but without understanding the specific factors contributing to errors, the impact may be limited. Choice B: Requiring staff nurses to pass a medication administration examination focuses on individual competency, which is important but not as effective as addressing system issues that contribute to errors. Choice D: Developing a quality improvement program for nurses involved in errors is necessary but should come after identifying and addressing the root causes of errors through a comprehensive review process.

Correct Answer: C

Rationale: The correct answer is C: Data saturation. In qualitative research, data saturation is the point where new data no longer brings additional insights or changes in themes. This principle guides sample size determination as it ensures enough data is collected to reach this saturation point, leading to a comprehensive understanding of the phenomenon under study. Effect size (A) is more relevant in quantitative research, while the number of variables (B) and sub-group analysis (D) are factors that may influence the complexity of the study but are not directly related to determining sample size in qualitative research.

Correct Answer: B

Rationale: The correct answer is B: Minimize selection bias. Random assignment in an RCT helps ensure that participants in the experimental and control groups are similar at baseline. This minimizes the risk of selection bias, where certain characteristics of participants influence study outcomes. Choice A is incorrect because the purpose of random assignment is not specifically to test treatment effectiveness but to minimize bias. Choice C is incorrect because random assignment does not directly increase sample size. Choice D is incorrect because providing a baseline measurement is not the primary purpose of random assignment in an RCT.